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CASE REPORT article

Front. Cardiovasc. Med.
Sec. Intensive Care Cardiovascular Medicine
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1402744
This article is part of the Research Topic Extracorporeal Cardio-Pulmonary Resuscitation (ECPR) View all 8 articles

Extracorporeal cardiopulmonary resuscitation successfully used in a two-hour cardiac arrest caused by fulminant myocarditis: a case report

Provisionally accepted
Qinxue Hu Qinxue Hu 1Xing Liu Xing Liu 2*Chengli Wen Chengli Wen 3Songtao Mei Songtao Mei 3*Xianying Lei Xianying Lei 3*Tao Xu Tao Xu 3*
  • 1 Department of Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China, Luzhou, China
  • 2 Tianjin Third Central Hospital, Tianjin, China
  • 3 Department of Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China

The final, formatted version of the article will be published soon.

    Fulminant myocarditis (FM) is characteristically associated with rapid progressive decline in cardiac function and high mortality, with rapid onset of hemodynamic dysfunction and severe arrhythmias. In this report, we describe a case concerning a patient clinically diagnosed with FM, marked by rapid progression leading to intractable ventricular fibrillation and subsequent cardiac arrest.Conventional cardiopulmonary resuscitation (CCPR) was performed 120 minutes before extracorporeal membrane oxygenation (ECMO) was initiated. This critical situation was effectively addressed through the utilization of extracorporeal cardiopulmonary resuscitation (ECPR). By providing sustained cardiopulmonary support, effective hemodynamics were obtained. Eventually, the patient made a full recovery, and discharged without neurologic complications on hospital day 13.

    Keywords: Fulminant myocarditis, Cardiac arrest, CPR, ECPR, ECMO, case report

    Received: 18 Mar 2024; Accepted: 08 Oct 2024.

    Copyright: © 2024 Hu, Liu, Wen, Mei, Lei and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Xing Liu, Tianjin Third Central Hospital, Tianjin, China
    Songtao Mei, Department of Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
    Xianying Lei, Department of Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China
    Tao Xu, Department of Critical Care Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan Province, China

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